Question

The health care provider has prescribed amiodarone for a patient with ventricular dysrhythmias. Upon reviewing the patient's medical history, which statement by the patient would lead the nurse to notify the health care provider?

Answer 1

Answer:

I do take blood thinners , to prevent clotting.

Explanation:

Amiodarone as oral or intravenous  intake is used to slowdown or prevent excessive excitation of the heart to reduce irregular heart beats.(arrhythmia), They are therefore commonly refers to as anti-arrhythmia drugs.

Arrhythmia causes accumulation of blood in the vascular system, leading to blood clotting. Therefore blood thinners are usually used by patients with arrhythmia to prevent clot.

However,usage of amiodarone and blood  thinner e.g heparin, will  make the blood too thin, which may lead to lysis of blood cells and profuse bleeding.

Therefore the nurse should alert the health care provider immediately, she noticed this in medical history, to review the prescription.

Answer 2

Answer:

I take a blood thinner so I don't get clots.

Explanation:

A ventricular dysrhythmia is the disturbance in the typical rhythm of the electrical movement of the heart which arises in the ventricles while Amiodarone is an antiarrhythmic medicine utilized for treating and preventing different of types of irregular heartbeats. This includes ventricular fibrillation (VF), ventricular tachycardia (VT), and wide complex tachycardia, as well as paroxysmal supraventricular tachycardia and atria fibrillation.

From the patient's medical history it is not advisable to prescribe an amiodarone dosage.